Hospice Billing Series

The 2025 hospice rule brought reimbursement changes that include a rate increase, and 2026 is sure to follow with multiple changes. New and experienced hospice billers periodically need a review of eligibility requirements and recent reimbursement and election clarifications. This session will examine eligibility verifications, Election Statement and Addendum, and Notice of Election requirements under recent regulatory updates. It will traverse the Late Notice of Election and the exceptions appeal process. A comprehensive review of all eligibility requirements, all aspects of dealing with election statement changes, and all things related to the Notice of Election will be included.

Recent years have been filled with updates to the hospice Medicare billing regulations. Accurate monthly claims and understanding the navigation surrounding the edits and errors are key to getting paid correctly and in a timely manner. This webinar will go step-by-step through this process. It will also provide examples of current billing issues and how to troubleshoot those edits.

Face-to-face requirements, physician billing, and the aggregate cap self-reporting requirement are a few of the many daily reimbursement-related challenges. This program will include a review of specific physician billing codes and attending physician impact. HOPE transmission requirements and the penalty for noncompliance will be covered as well as medical review denials and how the PEPPER data may affect your hospice.